Table 3.
Characteristics | Monk et al.; 2005[68] | Lindholm et al.; 2009 [69] | Leslie et al.; 2010 [70] | Kertai et al., 2010 [34] | Kertai et al., 2011[71] |
---|---|---|---|---|---|
Number of patients studied | 1,064 | 4,087 | 2,463 | 460 | 1,473 |
Cardiac surgery patients (%) | 0 | 0 | 49 | 100 | 0 |
Age (yr) | 51 (37-65) | 50 (36-65) | 61 (46-71) | 64 (55-73) | 59 (48-69) |
Male sex (%) | 37 | 38 | 62 | 62 | 51 |
ASA physical status ≥3 (%) | 35 | 6 | 74 | 98 | 63 |
Duration of anesthesia (h) | 3.1 (2.3-4.3) | 1.8 (1.2-2.5) | 3.1 (1.4-4.4) | 6.1 (5.2-7.1) | 3.4 (2.1-4.9) |
Volatile maintenance (%) | 91 | 95 | 57 | 100 | 100 |
BIS monitoring (%) | 100 | 100 | 50 | 100 | 100 |
Anesthesiologists blind to BIS | Yes | No | No | 50% | 50% |
Average BIS | 49±9 | 37±7 | 45±7 | 40±7 | 45±8 |
Follow-up (yr) | 1 | 2 | 4 | 3 | 3 |
30-day mortality (%) | 0.7 | 0.7 | 4.3 | 3.5 | 1.5 |
1-year mortality (%) | 5.5 | 4.3 | 10.8 | 10.7 | 9.8 |
2-year mortality (%) | - | 6.5 | 14.6 | 14.3 | 16.4 |
Mortality at the end of the follow-up (%) | - | - | 22.2 | 17.8 | 22.8 |
Relative risk for mortality per hour BIS <45 (95%CI)* | 1.24 (1.06 to 1.44) | 1.08 (0.99 to 1.18) | 1.41 (1.02 to 1.95) | 1.29 (1.12 to 1.49) | 1.03 (0.93 to 1.14) |
Table was modified from Leslie et al.,70; Data are reported as mean±SD, median (interquartile range), count, or percent; ASA, American Society of Anesthesiologists, BIS, Bispectral Index; CI, confidence interval
corrected for clinical risk factors and intraoperative variables